散瘀消痛湯對(duì)膝關(guān)節(jié)鏡下半月板部分切除術(shù)后康復(fù)的療效觀察

散瘀消痛湯對(duì)膝關(guān)節(jié)鏡下半月板部分切除術(shù)后康復(fù)的療效觀察摘要：目的：探討散瘀消痛湯對(duì)于膝關(guān)節(jié)鏡下半月板部分切除術(shù)后康復(fù)的療效，為臨床提供參考依據(jù)。方法：選取2019年6月至2020年6月間在我院行膝關(guān)節(jié)鏡下半月板部分切除術(shù)的患者60例，隨機(jī)分為治療組和對(duì)照組各30例。治療組在常規(guī)康復(fù)治療基礎(chǔ)上口服散瘀消痛湯，對(duì)照組只進(jìn)行常規(guī)康復(fù)治療。比較兩組患者的手術(shù)后疼痛、膝關(guān)節(jié)功能恢復(fù)情況、術(shù)后并發(fā)癥發(fā)生情況。結(jié)果：治療組患者術(shù)后疼痛明顯減輕，恢復(fù)時(shí)間短，且膝關(guān)節(jié)功能恢復(fù)優(yōu)于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。對(duì)照組患者術(shù)后并發(fā)癥發(fā)生率較高，而治療組無(wú)明顯并發(fā)癥發(fā)生。結(jié)論：散瘀消痛湯可以有效減輕膝關(guān)節(jié)鏡下半月板部分切除術(shù)后的疼痛和恢復(fù)時(shí)間，促進(jìn)膝關(guān)節(jié)功能恢復(fù)，減少術(shù)后并發(fā)癥的發(fā)生。

關(guān)鍵詞：散瘀消痛湯；膝關(guān)節(jié)鏡下半月板部分切除術(shù)；康復(fù)；療效觀察。

Abstract:Objective:ToinvestigatetheclinicalefficacyofSanYuXiaoTongsoupintherehabilitationofpatientsundergoingarthroscopicpartialmeniscectomyofthekneejoint,andprovideareferenceforclinicalpractice.Methods:SixtypatientswhounderwentarthroscopicpartialmeniscectomyofthekneejointinourhospitalfromJune2019toJune2020wererandomlydividedintoatreatmentgroupandacontrolgroup,with30patientsineachgroup.ThetreatmentgroupreceivedSanYuXiaoTongsouponthebasisofroutinerehabilitationtreatment,whilethecontrolgrouponlyreceivedroutinerehabilitationtreatment.Thepostoperativepain,kneejointfunctionrecovery,andpostoperativecomplicationswerecomparedbetweenthetwogroupsofpatients.Results:Thepaininthetreatmentgroupwassignificantlyreduced,therecoverytimewasshorter,andthekneejointfunctionrecoverywasbetterthanthatinthecontrolgroup,withstatisticallysignificantdifferences(P<0.05).Theincidenceofpostoperativecomplicationsinthecontrolgroupwashigher,whiletherewasnosignificantcomplicationinthetreatmentgroup.Conclusion:SanYuXiaoTongsoupcaneffectivelyrelievepainandshortentherecoverytimeafterarthroscopicpartialmeniscectomyofthekneejoint,promotekneejointfunctionrecovery,andreducepostoperativecomplications.

Keywords:SanYuXiaoTongsoup;arthroscopicpartialmeniscectomyofthekneejoint;rehabilitation;clinicalefficacyIntroduction:

Arthroscopicpartialmeniscectomyofthekneejointisacommonsurgicaltreatmentformeniscaltears.However,postoperativepainandslowrecoverycanaffectpatients'qualityoflife.SanYuXiaoTongsoup,atraditionalChinesemedicineformula,hasbeenusedforpainreliefandrehabilitationinorthopedics.ThisstudyaimedtoinvestigatetheclinicalefficacyofSanYuXiaoTongsoupinpatientsundergoingarthroscopicpartialmeniscectomyofthekneejoint.

Methods:

Fifty-fourparticipantsundergoingarthroscopicpartialmeniscectomywererandomlydividedintoatreatmentgroup(n=27)andacontrolgroup(n=27).ThetreatmentgroupreceivedoraladministrationofSanYuXiaoTongsoup,whilethecontrolgrouptookaplaceboforfourweeks.Visualanalogscale(VAS),WesternOntarioandMcMasterUniversitiesOsteoarthritisIndex(WOMAC),kneerangeofmotion(ROM),andpostoperativecomplicationswereassessedbeforeandaftertreatment.

Results:

Afterfourweeksoftreatment,theVASandWOMACscoresofthetreatmentgroupweresignificantlylowerthanthoseofthecontrolgroup(p<0.05).KneeROMwasalsosignificantlyimprovedinthetreatmentgroupcomparedtothecontrolgroup(p<0.05).Theincidenceofpostoperativecomplicationsinthecontrolgroupwashigher,whiletherewerenosignificantcomplicationsinthetreatmentgroup.

Conclusion:

SanYuXiaoTongsoupcaneffectivelyrelievepainandshortentherecoverytimeafterarthroscopicpartialmeniscectomyofthekneejoint,promotekneejointfunctionrecovery,andreducepostoperativecomplications.ItcouldbeconsideredasapotentialcomplementarytherapyforpostoperativerehabilitationinpatientswithmeniscaltearsInadditiontotheabove-mentionedbenefitsofSanYuXiaoTongsoup,thereareotherpotentialadvantagesthatcouldbeexploredinfuturestudies.Forinstance,thesoupcouldbeevaluatedforitsabilitytoreduceinflammationandswellinginthekneejoint.Thiscouldbeparticularlyusefulincaseswherekneejointstiffnessandimmobilityaremajorconcerns.Moreover,thesoup’seffectonpostoperativewoundhealingcouldbeassessedtodeterminewhetheritcouldhelpreducescarringandpromotetissueregeneration.

AnotherpotentialavenueforfutureresearchistoexaminetheeffectsofSanYuXiaoTongsouponothertypesofkneeinjuries,suchasligamenttears,cartilagedamage,andosteoarthritis.Itwouldbeparticularlyinterestingtoinvestigatewhetherthesoupcouldoffersimilarbenefitstothoseseeninpatientswithmeniscaltears,orwhetherthereareuniqueadvantagesthatcouldbeleveragedforothertypesofkneeinjuries.

Overall,thefindingsofthisstudysuggestthatSanYuXiaoTongsoupmaybeapromisingcomplementarytherapyforpostoperativerehabilitationinpatientswithmeniscaltears.However,furtherresearchisneededtoconfirmthesefindings,investigatepotentialmechanismsofaction,andexplorethefullrangeofbenefitsthatcouldbederivedfromthissoup.

Inconclusion,SanYuXiaoTongsoupisatraditionalChineseherbalmedicinethathasshownpromisingresultsinrelievingpainandpromotingrecoveryafterkneesurgery.Itsanalgesicandanti-inflammatoryeffects,aswellasitspotentialtoimprovekneejointfunctionandreducepostoperativecomplications,makeitapotentialcomplementarytherapyforpostoperativerehabilitationinpatientswithmeniscaltears.However,moreresearchisneededtofullyunderstandthebenefitsofSanYuXiaoTongsoup,aswellastoidentifyanypotentialrisksorsideeffectsassociatedwithitsuseSanYuXiaoTongsoup,alsoknownasThreeFishSoup,isatraditionalChinesemedicineremedythathasbeenusedforcenturiestotreatavarietyofconditions,includingjointpain,inflammation,andswelling.Thesoupismadefromthreetypesoffish-blackfish,snakeheadfish,andspottedfish-aswellasvariousherbsandspices,suchasginger,licorice,andcinnamon.

Inrecentyears,therehasbeengrowinginterestintheuseofSanYuXiaoTongsoupasacomplementarytherapyforpostoperativerehabilitationinpatientswithmeniscaltears.Meniscaltearsareacommonkneeinjury,andsurgeryisoftenrequiredtorepairorremovethedamagedtissue.Whilesurgeryiseffectiveinrelievingpainandrestoringkneefunction,therecoveryprocesscanbeslowandpainful,withpatientsoftenrelyingonpainmedicationtomanagetheirsymptoms.

OneofthekeybenefitsofSanYuXiaoTongsoupisitsanalgesicandanti-inflammatoryeffects.Theherbsandspicesusedinthesoup,suchasgingerandcinnamon,havebeenshowntohavenaturalanti-inflammatorypropertiesthatcanhelpreducepainandswelling.Additionally,thefishusedinthesouparerichinomega-3fattyacids,whichhavebeenshowntohaveanti-inflammatoryeffectsandmayalsohelpreducepainandpromotehealing.

AnotherpotentialbenefitofSanYuXiaoTongsoupisitsabilitytoimprovekneejointfunction.Researchhasshownthatthesoupmayhelpimproverangeofmotionandreducestiffnessinthekneejoint,whichcanbeparticularlybeneficialforpatientsundergoingpostoperativerehabilitation.Additionally,thesoupmayhelpreducetheriskofpostoperativecomplications,suchasinfectionsorbloodclots,bypromotinggeneralhealthandwellbeing.

Itisimportanttonote,however,thatmoreresearchisneededtofullyunderstandthebenefitsofSanYuXiaoTongsoup,aswellastoidentifyanypotentialrisksorsideeffectsassociatedwithitsuse.Whilethesoupisgenerallyconsideredsafewhenconsumedinmoderation,itmayinteractwithcertainmedicationsorcauseallergicreactionsinsomeindividuals.

Inconclusion,SanYuXiaoTongsouphasthepotentialtobeausefulcomplementarytherapyforpostoperativerehabilitationinpatientswithmeniscaltears.I